Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.73 / $19.73 / $34.75	Facility	26	$19.73	$19.73	$34.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $196.01 / $342.16	Professional		$179.37	$196.01	$342.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $21.00 / $42.42	Professional	26	$19.73	$21.00	$42.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.63 / $175.02 / $313.97	Professional	TC	$159.63	$175.02	$313.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.72 / $38.88	Professional	26	$17.38	$21.72	$38.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $190.52 / $264.93	Professional		$160.00	$190.52	$264.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.72 / $40.00 / $70.33	Professional	26	$21.72	$40.00	$70.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $115.47 / $155.82 / $230.83	Professional	TC	$115.47	$155.82	$230.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.62 / $287.64 / $525.33	Professional		$242.62	$287.64	$525.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.34 / $29.64 / $57.81	Professional	26	$25.34	$29.64	$57.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.11 / $258.00 / $467.53	Professional	TC	$217.11	$258.00	$467.53
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $34.20 / $34.61 / $71.69	Facility	26	$34.20	$34.61	$71.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $207.79 / $278.24	Professional		$41.02	$207.79	$278.24
United Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $270.61 / $443.99	Professional		$207.43	$270.61	$443.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $30.08 / $44.10	Professional	26	$22.41	$30.08	$44.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.01 / $233.67 / $398.26	Professional	TC	$197.01	$233.67	$398.26